Dr. Shebani Sethi

And this is our local Safeway. This is the heart of Silicon Valley. So in this context, it wasn't about affordability or access. That is what motivated me to kind of get that public message out on this topic.

And this is our local Safeway. This is the heart of Silicon Valley. So in this context, it wasn't about affordability or access. That is what motivated me to kind of get that public message out on this topic.

And this is our local Safeway. This is the heart of Silicon Valley. So in this context, it wasn't about affordability or access. That is what motivated me to kind of get that public message out on this topic.

Yes. What I have noticed is that a lot of my patients that come for psychiatric treatment and evaluation, a lot of them have pre-diabetes and diabetes. And when I look up the statistics on this in our country, 44% of adults today in our country are either pre-diabetic or they have diabetes. And I wonder to myself, what is that doing to our brain?

Yes. What I have noticed is that a lot of my patients that come for psychiatric treatment and evaluation, a lot of them have pre-diabetes and diabetes. And when I look up the statistics on this in our country, 44% of adults today in our country are either pre-diabetic or they have diabetes. And I wonder to myself, what is that doing to our brain?

Yes. What I have noticed is that a lot of my patients that come for psychiatric treatment and evaluation, a lot of them have pre-diabetes and diabetes. And when I look up the statistics on this in our country, 44% of adults today in our country are either pre-diabetic or they have diabetes. And I wonder to myself, what is that doing to our brain?

We know that affects all these different organ systems, the liver, the pancreas, the heart, but what is that doing to the brain, right? And so, I'm happy to talk more about my research and patient care. But one thing that I felt I didn't completely answer before was kind of how these hormones affect the brain with the addictive piece.

We know that affects all these different organ systems, the liver, the pancreas, the heart, but what is that doing to the brain, right? And so, I'm happy to talk more about my research and patient care. But one thing that I felt I didn't completely answer before was kind of how these hormones affect the brain with the addictive piece.

We know that affects all these different organ systems, the liver, the pancreas, the heart, but what is that doing to the brain, right? And so, I'm happy to talk more about my research and patient care. But one thing that I felt I didn't completely answer before was kind of how these hormones affect the brain with the addictive piece.

Yeah. Yeah. So kind of going back to that, you know, so I was talking about the definition of addiction. And we know that hormones like insulin and leptin, which is the hormone that tells us we're full, it sends a signal to our brain, and ghrelin that tells us that we're hungry, these hormones modify natural and drug reward pathways in the brain. I mean, they have so many effects on the brain.

Yeah. Yeah. So kind of going back to that, you know, so I was talking about the definition of addiction. And we know that hormones like insulin and leptin, which is the hormone that tells us we're full, it sends a signal to our brain, and ghrelin that tells us that we're hungry, these hormones modify natural and drug reward pathways in the brain. I mean, they have so many effects on the brain.

Yeah. Yeah. So kind of going back to that, you know, so I was talking about the definition of addiction. And we know that hormones like insulin and leptin, which is the hormone that tells us we're full, it sends a signal to our brain, and ghrelin that tells us that we're hungry, these hormones modify natural and drug reward pathways in the brain. I mean, they have so many effects on the brain.

Our hunger hormones go awry and it can actually increase the reactivity itself of the dopamine system. And so this happens when we consume that excess sugar and the excess carbohydrates in our diet. And they cause these rapid shifts in blood glucose and insulin levels similar to other addictive substances. So my approach in patient care has been to work on this system to decrease

Our hunger hormones go awry and it can actually increase the reactivity itself of the dopamine system. And so this happens when we consume that excess sugar and the excess carbohydrates in our diet. And they cause these rapid shifts in blood glucose and insulin levels similar to other addictive substances. So my approach in patient care has been to work on this system to decrease

Our hunger hormones go awry and it can actually increase the reactivity itself of the dopamine system. And so this happens when we consume that excess sugar and the excess carbohydrates in our diet. And they cause these rapid shifts in blood glucose and insulin levels similar to other addictive substances. So my approach in patient care has been to work on this system to decrease

these shifts that occur in our blood sugar and our hormone levels to kind of go back to the homeostatic state that our body and our brains were meant to be in. And so I treat the metabolic dysfunction and I look at how that improves both metabolic issues as well as psychiatric outcomes.

these shifts that occur in our blood sugar and our hormone levels to kind of go back to the homeostatic state that our body and our brains were meant to be in. And so I treat the metabolic dysfunction and I look at how that improves both metabolic issues as well as psychiatric outcomes.

these shifts that occur in our blood sugar and our hormone levels to kind of go back to the homeostatic state that our body and our brains were meant to be in. And so I treat the metabolic dysfunction and I look at how that improves both metabolic issues as well as psychiatric outcomes.

So the field has come a long way. There's a lot of research that's been done on the biological piece and neuroscience and looking at obviously the serotonin hypothesis, but that's a hypothesis and an observation from like 30 years ago.

So the field has come a long way. There's a lot of research that's been done on the biological piece and neuroscience and looking at obviously the serotonin hypothesis, but that's a hypothesis and an observation from like 30 years ago.